Journal: Addictive Behaviors Reports
Article Title: Exploring the effects of cannabidiol on pain sensitivity using quantitative sensory testing among individuals receiving methadone or buprenorphine for opioid use disorder: an open-label, proof-of-concept study
doi: 10.1016/j.abrep.2025.100654
Figure Lengend Snippet: Differential Effects of CBD on Pain Modulation Among Participants Receiving Methadone and Buprenorphine. Bar graphs showing responses to CBD at doses of 400 mg, 800 mg, and 1200 mg measured at 120 and 240 min post-administration. Data presented as mean ± standard error with individual data points. Treatment groups are indicated by 'm' (methadone, n = 4) and 'b' (buprenorphine, n = 3). Significant between-group differences are indicated by * (p < 0.05) and *** (p < 0.001). (A) Heat Pain Threshold: Percent change from baseline showing opposing responses between treatment groups at 400 mg. (B) Heat Pain Tolerance: Divergent responses, with significant between-group differences observed at 120 min post-800 mg and near-significant differences at 240 min post-400 mg dose. (C) Top-Down Pain Modulation − Conditioned Pain Modulation (CPM): Positive values indicate enhanced pain modulation, primarily observed in the buprenorphine group at 400 mg dose. (D) Bottom-Up Pain Facilitation − Temporal Summation of Pain (TSP): Higher values indicate increased pain facilitation. Significant between-group difference at 1200 mg (240 min). Y-axis represents percent change from baseline for all measures. For CPM (C), values represent the percent change from baseline of the within-session CPM effect (calculated as % inhibition).
Article Snippet: Participants completed three 8-hour test sessions with ascending doses of oral CBD (Epidiolex®): 400 mg, 800 mg, and 1200 mg. Epidiolex is a solution containing purified, plant-derived CBD at concentration of 100 mg/mL, obtained from Jazz Pharmaceuticals ( ).
Techniques: Inhibition